DR. KENISHA WHEELER GORDON


Address: 787 E Northside Dr, Jackson, MS 39206-4945
Phone: 9855179300

DR. KENISHA WHEELER GORDON (NPI# 1124591573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124591573
Entity Type Individual
Full Name DR. KENISHA WHEELER GORDON
Credential LPC
Practice Address 787 E Northside Dr
Jackson
MS 39206-4945
Mailing Address Po Box 587
Clinton
MS 39060-0587
Practice Telephone 9855179300
Enumeration Date 2019-01-09
Last Update Date 2019-07-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
1327 MS Behavioral Health & Social Service Providers

Office Location

Street Address 787 E NORTHSIDE DR
City JACKSON
State MS
Zip Code 39206-4945

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073668596 Jerome Gordon Jr. Occupational Therapist 787 E Northside Dr, Jackson, MS 39206-4945 2007-01-24
1912559097 Michael Albert Reed Psychoanalyst 787 E Northside Dr, Jackson, MS 39206-4945 2019-07-10
1972164176 Best Outcomes Therapeutic Services, LLC Counselor 787 E Northside Dr, Jackson, MS 39206-4945 2019-06-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023661824 Latoya Lanette Trunell Occupational Therapy Assistant 787 East Northside Drive, Jackson, MS 39206 2019-07-20
1649839291 Andrew Harris Dentist 4505 I-55 Frontage Rd. N, Jackson, MS 39206 2019-06-07
1679065916 Savannah Lee Zachry Physical Therapist 5140 Galaxie Dr Ste 108, Jackson, MS 39206 2018-06-02
1669987723 Harmony House Calls LLC Nurse Practitioner 5140 Galaxie Dr Ste 105, Jackson, MS 39206 2017-12-11
1841719903 Yolanda Yvette Bell Nurse Practitioner 6064 Whitestone Rd, Jackson, MS 39206 2017-09-10
1760907117 Anthony Brown Jr. Physical Therapist 5411 I-55 North, Jackson, MS 39206 2017-08-07
1114457132 Ambric N Williams Occupational Therapy Assistant 6017 Whitestone Rd, Jackson, MS 39206 2017-06-13
1952835613 Peak Chiropractic Care, LLC Chiropractor 4915 I-55 North, Suite 201b, Jackson, MS 39206 2017-04-19
1447798293 Peterkin and Associates of Mississippi Inc Community/Behavioral Health 5155 Galaxie Drive, Suite F, Jackson, MS 39206 2017-02-01
1952844219 Jennifer Penick Counselor 460 Briarwood Drive, Suite 510, Jackson, MS 39206 2016-11-18
Find all providers in zip 39206

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902411663 Kristen Camille Kapler Counselor 3899 Division Rd, Jackson, WI 53037-9707 2020-09-10
1992339071 Open Door Family Counseling Counselor 316 S Brown St Ste A, Jackson, MI 49203-1481 2020-02-27
1891334108 Jamie Alane Merrill Counselor 1214 Greenwood Ave, Jackson, MI 49203-3037 2020-01-03
1285273078 Hall Consulting Services LLC Counselor 1155 Briarwood Dr, Jackson, MS 39211-4204 2019-12-27
1114496387 New Direction Counseling Center, LLC Counselor 1200 N West Ave Ste 809, Jackson, MI 49202-2196 2018-11-17
1811490964 Lifeworks Resources, LLC Counselor 575 S Royal St Ste 24, Jackson, TN 38301-7307 2018-03-15
1912409764 Impact Behavioral Counseling LLC Counselor 1551 E County Line Rd Ste B, Jackson, MS 39211-1801 2018-03-07
1831697317 Denise June Johnson Counselor 906 Lincoln St, Jackson, MI 49202-3251 2018-01-30
1033626031 Heather R. Chruch Counselor 180 W Michigan Ave Ste 204, Jackson, MI 49201-1342 2017-12-29
1861908337 Matthew T Tompkins Counselor 810 E Jackson Blvd Ste B1, Jackson, MO 63755-2400 2017-12-20
Find all providers in JACKSON

Competitor

Search similar providers

City JACKSON
Zip Code 39206

Improve Information

Please comment or provide details below to improve the information on DR. KENISHA WHEELER GORDON.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches